Licensee Forms

BOARD FORMS

The following forms are available online and may be printed, completed, and mailed to the Board offices. Please click on the file below for available forms. All forms may be reviewed and printed with Adobe Acrobat Reader 6.0 or higher.

The West Virginia Board of Medicine is the sole authority for the issuance of licenses to practice medicine and surgery, to practice podiatry, and to practice as a physician assistant in collaboration with MDs and DPMs in the State of West Virginia, and is the regulatory and disciplinary body for medical doctors, podiatric physicians and their physician assistants.